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[Somatization -- conversion -- dissociation: strategies for behavior therapy].

Wolfgang Von Hiller1

  • 1Johannes Gutenberg University Mainz, Department of Psychology, Staudingerweg 9, D-55099 Mainz, Germany. hiller@mail.uni-mainz.de

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|April 19, 2005
PubMed
Summary

Cognitive behavioral therapy (CBT) offers effective treatment for medically unexplained somatic symptoms by addressing vicious cycles. This approach motivates patients, introduces alternative explanations, and reduces maladaptive behaviors, improving health outcomes.

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Area of Science:

  • Psychiatry
  • Psychology
  • Behavioral Medicine

Background:

  • Medically unexplained somatic symptoms are often classified under somatoform disorders in DSM-IV and ICD-10.
  • These disorders represent a significant challenge due to patient overuse of medical services and associated healthcare costs.

Purpose of the Study:

  • To outline modern cognitive behavioral approaches for treating medically unexplained somatic symptoms.
  • To detail the components and underlying models of behavior therapy for somatoform disorders.

Main Methods:

  • Development of vicious circle models detailing etiological, triggering, and maintaining factors.
  • Application of treatment strategies derived from these models, focusing on patient motivation and alternative explanations.
  • Incorporation of biomedical and psychosocial mechanisms in symptom explanation and evaluation.

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Main Results:

  • Treatment involves motivating patients towards psychotherapy.
  • Alternative biomedical and psychosocial explanations for symptoms are introduced and evaluated.
  • Key strategies include reducing avoidance and inadequate illness behaviors.

Conclusions:

  • Cognitive behavioral therapy provides a structured framework for addressing somatoform disorders.
  • Effective treatment requires a multi-component approach targeting patient beliefs and behaviors.
  • Addressing these disorders is crucial for managing healthcare costs associated with somatoform patients.